Double hatchet flap for scalp defect reconstruction. A case report

DOI 10.5281/zenodo.6663273

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Velasco Cabrera JA. Double hatchet flap for scalp defect reconstruction. A case report. Am J Med Surg. June 2022; 8(2). 6-8

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BACKGROUND: Basal cell carcinoma is an increasingly studied condition with a growing incidence worldwide, it is the most frequent neoplastic pathology worldwide, with a high negative socioeconomic impact. Currently, there are multiple treatments for basal cell carcinoma, the main international guidelines such as the American Cancer Society, American Journal of Clinical Dermatology, and the International Agency for Research on Cancer continue to classify surgery as the treatment of choice. In this case presentation, the skin defect was covered with a double hatchet flap secondary to surgical excision of basal cell carcinoma located on the scalp in the frontoparietal region. An 80-year-old male diagnosed with basal cell carcinoma in the right frontoparietal region, has a history of excision of basal cell carcinoma in the nose in October 2019. He presents a lesion on the scalp with pearly edges, minimal telangiectasias, sunken center, not painful, not hemorrhagic. Surgical excision of basal cell carcinoma was performed with reconstruction of the scalp using a double hatchet flap.

 

Keywords: Scalp reconstruction, double hatchet flap, basal cell carcinoma, closing skin defects, hatchet flap.